| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $98.40 | $103.06 | $381.60 |
Martin's Point
| Facility | 26 | $98.40 | $113.36 | $381.60 |
UPMC Health Plan
| Facility | 26 | $71.53 | $71.53 | $157.00 |
Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $98.40 | $103.06 | $381.60 |
Martin's Point
| Facility | 26 | $98.40 | $113.36 | $381.60 |
UPMC Health Plan
| Facility | 26 | $71.53 | $71.53 | $157.00 |